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What to know about adenomyosis

How the structures involved in Adenomyosis differ from normal
Illustration: How the structures involved in Adenomyosis differ from normal

Short answer

Adenomyosis is a uterine condition that can cause heavy bleeding, painful periods, pelvic pressure and pain during sex.

This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.

At a glance

Common concerns
Heavy bleeding, painful periods and pelvic pain
Assessment
History, examination and imaging may be used

What it means

Tissue resembling the uterine lining sits within the muscular wall instead of remaining only at the inner surface. Monthly hormonal changes can make the muscle tender and enlarged, which may lead to cramping, prolonged bleeding or a heavy sensation in the pelvis. Some people have few symptoms, while others find pain or blood loss affects work, sleep and intimacy.

Fibroids and endometriosis can cause similar complaints, so assessment may include a history, examination and ultrasound. Anaemia can develop when bleeding is heavy, which is another reason to report fatigue, dizziness or breathlessness.

Treatment conversations

Keep notes on bleeding, clots, pain, pain during sex and the effect on daily activities. A clinician may discuss anti-inflammatory pain relief, medicines that reduce bleeding, hormonal treatment or a [Hormonal Coil](/treatments/contraception-and-family-planning/hormonal-coil/). Options depend on symptoms, fertility plans, uterine findings and your preferences.

If symptoms remain difficult, procedures such as [Endometrial Ablation](/treatments/gynaecological-surgery/endometrial-ablation/), [Uterine Artery Embolisation](/treatments/gynaecological-surgery/uterine-artery-embolisation/) or [Hysterectomy](/treatments/gynaecological-surgery/hysterectomy/) may be discussed. These choices have different effects on bleeding, recovery and future pregnancy.

When to seek care

Seek urgent advice for bleeding that causes faintness, marked weakness or breathlessness, or for sudden severe pelvic pain with vomiting or fever. Arrange a routine review for progressively heavier periods, pain that stops normal activities, bleeding between periods or pain during sex. Information about [Heavy Periods](/symptoms/heavy-periods/) and [Pelvic Pain](/symptoms/pelvic-pain/) can help you describe the pattern.

Questions for your doctor

How was adenomyosis assessed? Could I have anaemia or another cause of bleeding? Which treatment fits my fertility plans? What are the expected recovery and follow-up needs for each procedure?

Find care

General Clinics & Polyclinics in Abu Dhabi

That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.

City
See every listing in Abu Dhabi

Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.

A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.

Questions people ask

Can adenomyosis cause heavy periods?

Yes. Changes within the uterine muscle can contribute to heavier or longer bleeding, sometimes alongside cramping and pelvic tenderness.

Does adenomyosis always need surgery?

No. Medicines and hormonal options may help, while procedures are considered when symptoms remain troublesome or when other factors make them appropriate.

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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.